Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $229.09	Facility	26	$162.18	$162.18	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $426.58	Professional	26	$89.13	$128.82	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $162.18 / $588.84	Professional	26	$104.71	$162.18	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $331.13 / $524.81	Facility	26	$281.84	$331.13	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $338.84 / $436.52	Professional	26	$154.88	$338.84	$436.52
DeanCare Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $251.19 / $302.00	Professional	26	$213.80	$251.19	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $257.04 / $676.08	Professional	26	$128.82	$257.04	$676.08
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $676.08 / $676.08	Facility	26	$251.19	$676.08	$676.08
Quartz Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $562.34 / $676.08	Professional	26	$154.88	$562.34	$676.08
Security Health Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $389.05 / $630.96	Professional	26	$346.74	$389.05	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $208.93 / $478.63	Professional	26	$117.49	$208.93	$478.63